Organization
REGENCE HEALTHCARE INC
Active
Other names
COLONNADE, REGENCE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZANNOS GIORGIOS GREKOS M.D. (PRESIDENT)
(239) 498-9114
Entity
Organization
Contact information
Practice address
9500 BONITA BEACH RD SE, SUITE 310, BONITA SPRINGS, FL 34135-4698
(239) 498-9114
(239) 498-6555
Mailing address
9500 BONITA BEACH RD SE, SUITE 310, BONITA SPRINGS, FL 34135-4698
(239) 498-9114
(239) 498-6555
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250770600
—
FL
01
—
K0089
PPAN
FL
Enumeration date
09/26/2007
Last updated
08/21/2008
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